NUTRICHEM-SIAT 2024

Client Manager *

Select a client manager Neila Trigui Eya Ben Moussa Marwa Jouini

1. Full Name *

2. Company / Organization *

3. Email Address *

4. Phone Number *

5. Industry Sector *

FarmerAgronomistResellerStudentOther

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Other:

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Zone Geographique *

Select your zone Tunis Ariana Ben Arous Manouba Nabeul Bizerte Beja Jendouba Kef Siliana Zaghouan Sousse Monastir Mahdia Sfax Kairouan Kasserine Sidi Bouzid Gabes Medenine Tataouine Gafsa Tozeur Kebili

6. Specific Interest During the Visit *

Discovering our productsTechnical demonstrationDiscussing a partnershipObtaining documentationOther

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Other:

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Comments

How interested are you in being contacted? *

Not interestedSomewhat interestedVery interested

*